State council provisionally suspends decree reorganizing health insurers

Colombia's State Council provisionally suspended Decree 0182 of 2026, which reorganized health insurers territorially and capped the number of providers per region. The decision follows a lawsuit by Representative Katherine Miranda warning of forced transfers of millions of users to Nueva EPS.

The high court’s ruling temporarily halts the decree issued by President Gustavo Petro’s government. The measure aimed to implement a territorial and population-based health insurance model.

The lawsuit claimed the reorganization would limit user options and concentrate affiliates in entities like Nueva EPS, which is under intervention by the National Health Superintendency. The ruling noted it could lead to the reassignment of more than six million affiliates and the transfer of about 2.6 million to that entity.

The government argued the decree would fix structural issues such as system fragmentation and financial unsustainability of some insurers. The State Council, however, found grounds to review the claims and suspended the decree’s effects pending the judicial process.

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President Petro announces EPS liquidation impacting 12 million amid health service disruption fears and medication delay deaths.
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Petro orders liquidation of crisis-hit EPS without transition plan

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President Gustavo Petro announced the liquidation of several financially troubled EPS, impacting around 12 million users, amid warnings over the absence of a contingency plan. Regional officials and associations caution against service disruptions and massive transfers that could overload the system. Recent deaths from medication delays highlight existing failures.

The Administrative Court of Antioquia issued a precautionary measure against Decree 182 of 2026, which planned to transfer more than six million affiliates to Nueva EPS. The judge found that the regulation would create a high concentration of users and endanger their freedom of choice. The government was ordered to refrain from implementing it until the underlying controversy is resolved.

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Colombia's Procuraduría General de la Nación has provisionally suspended Asmet Salud EPS's special interventor, Lain Eduardo López Martínez, for three months over alleged deterioration in health services. The move also launches probes into former interventors. It follows preventive visits uncovering rises in complaints and financial issues.

Following Comptroller General approval and publication in the Official Gazette, the nationwide oncology sanitary alert—declared by President José Antonio Kast in late March amid delays affecting thousands on cancer waiting lists—has taken effect. It grants the Ministry of Health extraordinary powers to expedite diagnostics and treatments for 33,000 patients until September 30, 2026, with potential extension.

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Colombia's Constitutional Court declared unfounded the recusals by several magistrates to review the economic emergency decree, which includes a wealth tax to address the winter crisis in Córdoba. The full chamber will continue its analysis tomorrow, April 29, after six magistrates recused themselves the previous day. Business leaders and President Gustavo Petro have reacted to the judicial review.

President Gustavo Petro sharply criticized the State Council's suspension of a $25 trillion AFP-to-Colpensiones transfer under Decree 415, now limited to about $5 trillion, accusing business leaders of theft if they withhold the funds. Asofondos pushes for full decree suspension amid ongoing legal battle.

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